Provider Demographics
NPI:1013123868
Name:MIDDLETON, SYLVIA ARREDONDO (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ARREDONDO
Last Name:MIDDLETON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1744 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-6351
Mailing Address - Country:US
Mailing Address - Phone:318-443-4072
Mailing Address - Fax:
Practice Address - Street 1:3717 GOVERNMENT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71302-3358
Practice Address - Country:US
Practice Address - Phone:318-443-4072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA36961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical